Skip to main content
SpringerLink
Log in

Pain Perception in Psychiatric Disorders

  • Chapter
Pathophysiology of Pain Perception

Part of the book series: Plenum Series in Rehabilitation and Health ((SSRH))

  • 348 Accesses

Abstract

It is appropriate to begin the section dealing with the effects of psychiatric disorders on pain perception by writing about anxiety, for several reasons. First, anxiety is, when reaching clinical levels, a disorder in its own right. In addition, it is a symptom of almost every mental disorder. Furthermore, it is an affective state that is easily induced by the anticipation of psychological and physical threat even in healthy individuals. Hence, the understanding of how anxiety changes pain perception is essential for our knowledge of how psychological states and psychiatric disorders influence pain perception. There is a widespread believe that anxiety enhances pain sensitivity under all circumstances. This “law” has seemingly confirmed by some clinical observations that patients with anxiety disorders suffer more often from chronic pain and that chronic pain and anxiety disorders are often comorbid (Kuch et al., 1991). This simplistic perspective is, however, empirically not justified as will be shown.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Abraham, H. D., & Joseph, A. B. (1987). Bulimic vomiting alters pain tolerance and mood. The International Journal of Psychiatry in Medicine, 16, 311–316.

    Article  Google Scholar 

  • Adler, G., & Gattaz, W. F. (1993). Pain perception threshold in major depression. Biological Psychiatry, 34, 687–689.

    Article  PubMed  Google Scholar 

  • Al Absi, M., & Rokke, P. D. (1991). Can anxiety help us tolerate pain? Pain, 46, 43–51.

    Article  PubMed  Google Scholar 

  • Arntz, A,, & De Jong, P. (1993). Anxiety, attention and pain. The Journal of Psychosomtic Research, 37, 423–432.

    Article  Google Scholar 

  • Arntz, A., Dreessen, L., & De Jong, P. (1994). The influence of anxiety on pain: attentional and attributional mediators. Pain, 56, 307–314.

    Article  PubMed  Google Scholar 

  • Arntz, A., Dreessen, L., & Merckelbach, H. (1991). Attention, not anxiety, influences pain. Behaviour Research and Therapie, 29, 41–50.

    Article  Google Scholar 

  • Bezzi, G., Pinelli, P., & Tosca, P. (1981). Motor reactivity, pain threshold and effects of sleep deprivation in unipolar depressives. Psychiatrica Clinica, 14, 150–160.

    Google Scholar 

  • Bickerstaff, L. K., Harris, S. C., Legett, R. S., & Chea, K.-C. (1988). Pain insensitivity in schizophrenic patients. Archives of Surgery, 123, 49–51.

    Article  PubMed  Google Scholar 

  • Blackburn-Munro, G. & Blackburn-Munro, R. E. (2001). Chronic pain, chronic stress and depression: coincidence or consequence? Journal of Neuroendocrinology, 13, 1009–1023.

    Article  PubMed  Google Scholar 

  • Blumensohn, R., Ringler, D., & Eli, I. (2002). Pain perception in patients with schizophrenia. The Journal of Nervous and Mental Disease, 190, 481–483.

    Article  PubMed  Google Scholar 

  • Bohus, M., Landwehrmeyer, B., Stiglmayr, C., Limberger, M., Böhme, R., & Schmahl, C. (1999). Naltrexone in the treatment of dissociative symptoms in patients with borderline personality disorder. Journal of Clinical Psychiatry, 60, 598–603.

    Article  PubMed  Google Scholar 

  • Bonus, M., Limberger, M., Ebner, U., Glockner, F. X., Schwarz, B., Wernz, M., & Lieb, K. (2000). Pain perception during self-reported distress and calmness in patients with borderline personality disorder and self-mutilating behavior. Psychiatry Research, 95, 251–260.

    Article  Google Scholar 

  • Brewerton, T. D., Lydiard, R. B., Laraia, M. T., Shook, J. E., & Ballenger, J. C. (1992). CSF ß-endorphin and dynorphin in bulimia nervosa. The American Journal of Psychiatry, 8, 1086–1090.

    Google Scholar 

  • Chapman, W. P. (1944). Measurement of pain sensitivity in normal control subjects and in psychoneurotic patients. Psychosomatic Medicine, 6, 252–251.

    Google Scholar 

  • Chaturvedi, S. K. (1989). Pain sensitivity in psychosis and the endophin theory of psychosis. Advances in the Biosciences, 75, 687–690.

    Google Scholar 

  • Clarkin, J., Widiger, T., Frances, A., Hurt, W., & Gilmore, M. (1983). Prototypic typology and the borderline personality disorder. Journal of Abnormal Psychology, 92, 263–275.

    Article  PubMed  Google Scholar 

  • Collins, L. G., & Stone, L. A. (1966). Pain sensitivity, age and activity level in chronic schizophrenics and in normals. The British Journal of Psychiatry, 112, 33–35.

    Article  Google Scholar 

  • Cornwall, A., & Donderi, D. C. (1988). The effect of experimentally induced anxiety on the experience of pressure pain. Pain, 35, 105–113.

    Article  PubMed  Google Scholar 

  • Corruble, E., & Guelfi, J. D. (2000). Pain complaints in depressed inpatients. Psychopatholgy, 33, 307–309.

    Article  Google Scholar 

  • Davis, G. C. (1983). Endorphines and pain. The Psychiatric clinics of North America, 6, 473–487.

    PubMed  Google Scholar 

  • Davis, G. C., & Buchsbaum, M. S. (1981). Pain sensitivity and endorphines in functional psychoses. Modern problems of pharmacopsychiatry, 17, 97–108.

    PubMed  Google Scholar 

  • Davis, G. C., Buchsbaum, M. S., Bunney, W. E. (1979). Analgesia to painful stimuli in affective illness. The American Journal of Psychiatry, 136, 1148–1151.

    PubMed  Google Scholar 

  • Davis, G. C., Buchsbaum, M. S., Naber, D., Pickar, D., Post, R., van Kämmen, D. P., & Bunney, W. E. (1982). Altered pain perception and cerebrospinal endorphines in psychiatric illness. Annals of the New York Academy of Sciences, 398, 366–373.

    Article  PubMed  Google Scholar 

  • Davis, G. C., Buchsbaum, M. S., Naber, D., & van Kämmen, D. P. (1980). Effect of opiates and opiate antagonists on somatosensory evoked potentials in patients with schizophrenia and normal adults. Advances in Biological Psychiatry, 4, 73–80.

    Google Scholar 

  • De Zwaan, M., Biener, D., Bach, M., Wiesnagrotzki, S., & Stacher, G. (1996). Pain sensitivity, alexithymia, and depression in patients with eating disorders: are they related? Journal of Psychosomatic Research, 41, 65–70.

    Article  PubMed  Google Scholar 

  • Decina, P., Mukherjee, S., Caracci, G., & Harrison, K. (1992). Painful sensory symptoms in neuroleptic-induced extrapyramidal syndromes. The American Journal of Psychiatry, 149, 1075–1080.

    PubMed  Google Scholar 

  • Delaplaine, T., Ifabumuyi, O. I., Merskey, H., & Zarfas, J. (1978). Significance of pain in psychiatric hospital patients. Pain, 4, 361–366.

    Article  PubMed  Google Scholar 

  • Derbyshire, S. W. G., & Jones, A. K. P. (1998). Cerebral response to pain in two depressed patients. Depression and Anxiety, 7, 87–88.

    Article  PubMed  Google Scholar 

  • Dickens, C., McGowan. L., & Dale, S. (2003). Impact of depression on experimental pain perception: a systematic review of the literature with meta-analysis. Psychosomatic Medicine, 65, 369–375.

    Article  PubMed  Google Scholar 

  • Dougher, M.J. (1979). Sensory decision theory analysis of the effects of anxiety and experimental instructions on pain. Journal of Abnormal Psychology, 88, 137–144.

    Article  PubMed  Google Scholar 

  • Dougher, M. J., Goldstein, D., & Leight, K. A. (1987) Induced anxiety and pain. Journal of Anxiety Disorders, 1, 259–264.

    Article  Google Scholar 

  • Dworkin, R. H. (1994). Pain insensitivity in schizophrenia: a neglected phenomenon and some implications. Schizophrenia Bulletin, 20, 235–248.

    PubMed  Google Scholar 

  • Dworkin, R. H., & Gitlin, M.J. (1991). Clinical aspects of depression in chronic pain patients. The Clinical Journal of Pain, 7, 79–94.

    Article  PubMed  Google Scholar 

  • Dworkin, R. H., Clark, C. W., & Lipsitz, J. D. (1995). Pain responsivity in major depression and bipolar disorder. Psychiatry Research, 56, 173–181.

    Article  PubMed  Google Scholar 

  • Dworkin, R.H., Clark, W.C., Lipsitz, J. D., Amador, X. F., Kaufman, C. A., Opler, L. A., White, S. R., & Gorman, J. M. (1993). Affective deficits and pain insensitivity in schizophrenia. Motivation and Emotion, 17, 245–276.

    Article  Google Scholar 

  • Dworkin, S. F., Korff, M. von, Le Resche, L. (1990). Multiple pains and psychiatric disturbance. Archives of General Psychiatry, 47, 239–244.

    Article  PubMed  Google Scholar 

  • Faris, P. L., Raymond, N. C., de Zwaan, M., Howard, L. A., Eckert, E. D., & Mitchell, J. E. (1992). Nociceptive, but not tactile, thresholds are elevated in bulimia nervosa. Biological Psychiatry, 32, 462–466.

    Article  PubMed  Google Scholar 

  • Feldner, M. T., & Hekmat, H. (2001). Perceived control over anxiety-related events as a predictor of pain behaviors in a cold pressor task. Journal of Behavior Therapy and Experimental Psychiatry, 32, 191–202.

    Article  PubMed  Google Scholar 

  • Fishbain, D. A., Goldberg, M., Meagher, B. R., Steele, R., & Rosomoff, H. (1986). Male and female chronic pain patients categorized by DSM-III psychiatric diagnostic criteria. Pain, 26, 181–197.

    Article  PubMed  Google Scholar 

  • Florin, I., Franzen, U., Meier, M., & Schneider, S. (1988). Pressure sensitivity in bulimic women: a contribution to research in body image distortion. Journal of Psychosomatic Research, 32, 354–364.

    Article  Google Scholar 

  • France, R. D., Krishnan, K. R. R., Trainor, M., & Pelton, S. (1987). Chronic pain and depression (TV): DST as a discriminator between chronic pain and depression. Pain, 28, 39–44.

    Article  PubMed  Google Scholar 

  • Garron, D. C., & Leavitt, F. (1983). Chronic low back pain and depression. Journal of Clinical Psychology, 39, 486–493.

    Article  PubMed  Google Scholar 

  • Guieu, R., Samuelian, J. C., & Coulouvrat, H. (1994). Objective evaluation of pain perception in patients with schizophrenia. The British Journal of Psychiatry, 164, 255–255.

    Article  Google Scholar 

  • Haier, R. J. (1983). Pain sensitivity, evoked potentials and the dexamethason suppression test in depressed patients. Psychiatry Research, 10, 201–206.

    Article  PubMed  Google Scholar 

  • Hall, K. R. L., & Stride, E. (1954). The varying response to pain in psychiatric disorders: a study in abnormal psychology. British Journal of Medical Psychology, 27, 48–60.

    Article  PubMed  Google Scholar 

  • Hudson, J. L., Goldenberg, D. L., Pope, H. G., Keck, P. E., & Schlesinger, L. (1992). Comorbidity of fibromyalgia and major affective disorder: A controlled phenomenology and family history study. The American Journal of Psychiatry, 142, 441–446.

    Google Scholar 

  • Janssen, S. A., & Arntz, A. (1996). Anxiety and pain: attentional and endophinergic influences. Pain, 66, 145–150.

    Article  PubMed  Google Scholar 

  • Janssen, S. A., & Arntz, A. (1999). No interactive effects of naltrexone and benzodiazepines on pain during phobic fear. Behavior Research and Therapy, 37, 77–86.

    Article  Google Scholar 

  • Kaye, W. H., Pickar, D., Naber, D., & Ebert, M. H. (1982). Cerebrospinal fluid opioid activity in anorexia nervosa. The American Journal of Psychiatry, 139, 643–645.

    PubMed  Google Scholar 

  • Kemperman, I., Russ, M. J., Shearin, E. (1997). Self-injurious behavior and mood regulation in borderline patients. Journal of Personality Disorders, 11, 146–157.

    Article  PubMed  Google Scholar 

  • Keogh, E., & Birkby, J. (1999). The effect of anxiety sensitivity and gender on the experience of pain. Cognition and Emotion, 13, 813–829.

    Article  Google Scholar 

  • Keogh, E., & Mansoor, L. (2001). Investigating the effects of anxiety sensitivity and coping on the perception of cold pressor pain in healthy women. European Journal of Pain, 5, 11–25.

    Article  PubMed  Google Scholar 

  • Klepac, R. K., McDonald, M., Hauge, G., & Dowling, J. (1980). Reactions to pain among subjects high and low in dental fear. Journal of Behavioral Medicine, 3, 373–384.

    Article  PubMed  Google Scholar 

  • Knorring, L. von (1974). An intraindividual comparison of pain measures, averaged evoked responses and clinical ratings during depression and recovery. Acta Psychiatrica Scandinavica, 255 (Suppl.), 109–120.

    Article  Google Scholar 

  • Knorring, L. von (1978). An experimental study of visual averaged evoked responses (v. aer) and pain measures (pm) in patients with depressive disorders. Biological Psychology, 6, 27–38.

    Google Scholar 

  • Knorring, T., von, & Espvall, M. (1974). Experimentally induced pain in patients with depressive disorders. Acta Psychiatrica Scandinavica, 255 (Suppl.), 121–133.

    Article  Google Scholar 

  • Knorring, L. von, Perris, C., Eisemann, M., Eriksson, U., & Perris H (1983). Pain as a symptom in depressive disorders (I): relationship to diagnostic subgroups and depressive symptomatology. Pain, 15, 19–26.

    Article  Google Scholar 

  • Konicki, P. E., & Schulz, S. C. (1989). Rationale for clinical trials of opiate antagonists in treating patients with personality disorder and self-injurious behavior. Psychopharmacology Bulletin, 25, 556–563.

    PubMed  Google Scholar 

  • Kopp, M., & Gruzelier, J. (1989). Electrodermally differentiated subgroups of anxiety patients and controls. II. relationships with auditory, somatosensory and pain thresholds, agoraphobic fear, depression and cerebral laterality. International Journal of Psychophysiology, 7, 65–75.

    Article  PubMed  Google Scholar 

  • Krieg, J.-C., Röscher, S., Strian, F., Pirke, K.-M., & Lautenbacher, S. (1993). Pain sensitivity in recovered anorexics, restrained and unrestrained eaters. Journal of Psychosomatic Research, 37, 595–602.

    Article  PubMed  Google Scholar 

  • Kuch, K., Cox, B. J., Woszczyna, C. B., Swinson, R. P., & Shulman, I. (1991). Chronic pain in panic disorder. Journal of Behavior Therapy and Experimental Psychiatry, 22, 255–259.

    Article  PubMed  Google Scholar 

  • Kudoh, A., Ishihara, H., & Matsuki, A. (2000). Current perception thresholds and postoperative pain in schizophrenic patients. Regional Anesthesia and Pain Medicine, 25, 475–479.

    Google Scholar 

  • Lautenbacher, S. (2003). Schmerz und Schmerz Wahrnehmung bei psychiatrischen Erkrankungen, insbesondere bei Schizophrenie und Depression. In K. Einhäupl & M. Gastpar (Eds.), Schmerz in Psychiatrie und Neurologie (pp. 49–62). Heidelberg: Springer.

    Chapter  Google Scholar 

  • Lautenbacher, S., & Rollman, G. B. (1993). Sex differences in responsiveness to painful and non-painful stimuli are dependent upon the stimulation method. Pain, 53, 255–264.

    Article  PubMed  Google Scholar 

  • Lautenbacher, S., Barth, K., Frieß, E., Strian, F., Pirke, K.-M., Krieg, J.-C. (1991b). Dieting and pain sensitivity: a validation of clinical findings. Physiology & Behavior, 50, 629–631.

    Article  Google Scholar 

  • Lautenbacher, S., Pauls, A. M., Strian, F., Pirke, K.-M., & Krieg, J.-C. (1990). Pain perception in patients with eating disorders. Psychosomatic Medicine, 52, 673–682.

    PubMed  Google Scholar 

  • Lautenbacher, S., Pauls, A. M., Strian, F., Pirke, K.-M., & Krieg, J.-C. (1991a). Pain sensitivity in anorexia nervosa and bulimia nervosa. Biological Psychiatry, 29, 1073–1078.

    Article  PubMed  Google Scholar 

  • Lautenbacher, S., Roscher, S., Strian, D., Fassbender, K., Krumrey, K., & Krieg, J. C. (1994). Pain perception in depression: Relationships to symptomatology and naloxone-sensitive mechanisms. Psychosomatic Medicine, 56, 345–352.

    PubMed  Google Scholar 

  • Lautenbacher, S., Spernal, J., Schreiber, W., & Krieg, J. C. (1999). Relationship between clinical pain complaints and pain sensitivity in patients with depression and panic disorder. Psychosomatic Medicine, 61, 822–827.

    PubMed  Google Scholar 

  • Leibenluft, H., Gardner, D. L., Cowdry, R. W. (1987). The inner experience of the borderline self-mutilation. Journal of Personality Disorders, 1, 317–324.

    Article  Google Scholar 

  • Linehan, M. M. (1993). Cognitive behavioral treatment of borderline personality disorder. New York: The Guilford Press.

    Google Scholar 

  • Malow, R. M. (1981). The effects of induced anxiety on pain perception: a signal detection analysis. Pain, 11, 397–405.

    Article  PubMed  Google Scholar 

  • Malow, R. M., West, J. A., & Sutker, P. B. (1987). A sensory decision theory analysis of anxiety and pain responses in chronic drug abusers. Journal of Abnormal Psychology, 96, 184–189.

    Article  PubMed  Google Scholar 

  • Malow, R. M., West, J. A., & Sutker, P. B. (1989). Anxiety and pain response across treatment: sensory decision analysis. Pain, 38, 35–44.

    Article  PubMed  Google Scholar 

  • Marrazzi, M. A., Luby, E. D., Kinzie, J., Munjal, I. D., & Spector, S. (1997). Endogenous codeine and morphine in anorexia and bulimia. Life Sciences, 60, 1741–1747.

    Article  PubMed  Google Scholar 

  • McCown, W., Galina, H., Johnson, J., DeSimone, P., & Posa, J. (1993). Borderline personality disorder and laboratory induced cold pressor pain: evidence of stress-induced analgesia. Journal of Psychopathology and Behavioral Assessment, 15, 87–95.

    Article  Google Scholar 

  • Merskey, H. (1965). The effects of chronic pain upon the response to noxious stimuli by psychiatric patients. Journal of Psychosomatic Research, 8, 405–419.

    Article  PubMed  Google Scholar 

  • Merskey, H. (1990). Chronic pain and psychiatric illness. In J. J. Bonica (Ed.), The management of pain (pp. 320–327). Philadelphia: Lea & Febiger.

    Google Scholar 

  • Merskey, H., Gillis, A., & Marszalek, K. S. (1962). A clinical investigation of reactions to pain. Journal of Mental Sciences, 108, 347–355.

    Google Scholar 

  • Merskey, H., Lau, C. L., Russel, E. S., Brooke, R. I., James, M., Lappano, S., Neilsen, J., & Tilsworth, R. H. (1987). Screening for psychiatric morbidity: the pattern of psychological illness and premorbid characteristics in four chronic pain populations. Pain, 30, 141–157.

    Article  PubMed  Google Scholar 

  • Otto, M. W., Dougher, M. J., & Yeo, R. A. (1989). Depression, pain and hemispheric activation. The Journal of Nervous and Mental Disease, 177, 210–218.

    Article  PubMed  Google Scholar 

  • Pauls, A. M., Lautenbacher, S., Strian, F., Pirke, K.-M., Krieg, J.-C. (1991). Assessment of somatosensory indicators of polyneuropathy in patients with eating disorders. European Archives of Psychiatry and Clinical Neurosäence, 241, 8–12.

    Article  Google Scholar 

  • Pinerua-Shuhaibar, L., Prieto-Rincon, D., Ferrer, A., Bonilla, E., Maixner, W., & Suarez-Roca, H. (1999). Reduced tolerance and cardiovascular response to ischemic pain in minor depression. Journal of Affective Disorders, 56, 119–126.

    Article  PubMed  Google Scholar 

  • Pitman, R. K., van der Kolk, B. A., Orr, S. P., & Greenberg, M. S. (1990). Naloxone-reversible analgesic response to combat-related stimuli in posttraumatic stress disorder. Archives of General Psychiatry, 47, 541–544.

    Article  PubMed  Google Scholar 

  • Polatin, P.B., Kinney, R.K., Gatchel, R.J., Lillo, E., & Mayer, T.G. (1993). Psychiatric illness and chronic low back pain: The mind and the spine—which goes first. Spine, 18, 66–71

    Article  PubMed  Google Scholar 

  • Raymond, N. C., Faris, P. L., Thuras, P. D., Eiken, B., Howard, L. A., Hofbauer, R. D., & Eckert, E. D. (1999). Elevated pain thresholds in anorexia nervosa subjects. Biological Psychiatry, 45, 1389–1392.

    Article  PubMed  Google Scholar 

  • Rhudy, J. L., & Meagher, M. W (2000). Fear and anxiety: divergent effects on human pain thresholds. Pain, 84, 65–75.

    Article  PubMed  Google Scholar 

  • Romano, J. M., & Turner, J. A. (1985). Chronic pain and depression: Does the evidence support a relationship? Psychological Bulletin, 97, 18–34.

    Article  PubMed  Google Scholar 

  • Roth, A. S., Ostroff, R. B., Hoffman, R. E. (1996). Naltrxone as a treatment for repetitive self-injurious behavior: an open-label trial. Journal of Clinical Psychiatry, 57, 233–237.

    PubMed  Google Scholar 

  • Roy-Byrne, P., Uhde, T. W., Post, R. M., King, A. C., & Buchsbaum, M. S. (1985). Normal pain sensitivity in patients with panic disorder. Psychiatry Research, 14, 77–84.

    Article  PubMed  Google Scholar 

  • Russ, M. J., Campbell, S. S., Kakuma, T., Harrison, K., & Zanine, E. (1999). EEG theta activity and pain insensitivity in self-injurious borderline patients. Psychiatry Research, 89, 201–214.

    Article  PubMed  Google Scholar 

  • Russ, M. J., Clark, W. C., Cross, L. W., Kemperman, I., Kakuma, T., & Harrison, K. (1996). Pain and self-injury in borderline patients: sensory decision theory, coping strategies, and locus of control. Psychiatry Research, 63, 57–65.

    Article  PubMed  Google Scholar 

  • Russ, M. J., Roth, S. D., Kakuma, T., Harrison, K., & Hull, J. W (1994). Pain perception in self-injurious borderline patients: naloxone effects. Biological Psychiatry, 35, 207–209.

    Article  PubMed  Google Scholar 

  • Russ, M. J., Roth, S. D., Lerman, A., Kakuma, T., Harrison, K., Shindledecker, R. D., Hull, J., & Mattis, S. (1992). Pain perception in self-injurious patients with borderline personality disorder. Biological Psychiatry, 32, 501–511.

    Article  PubMed  Google Scholar 

  • Russ, M. J., Shearin, E. N., Clarkin, J. F., Harrison, K., & Hull, J. W. (1993). Subtypes of self-injurious patients with borderline personality disorder. The American Journal of Psychiatry, 150, 1869–1871.

    PubMed  Google Scholar 

  • Schaffer, C. B., Donlon, P. T., & Bittle, R. M. (1980). Chronic pain and depression: a clinical and family history survey. The American Journal of Psychiatry, 137, 118–120.

    PubMed  Google Scholar 

  • Schmidt, N. B., & Cook, J. H. (1999). Effects of anxiety sensitivity on anxiety and pain during a cold pressor challenge in patients with panic disorder. Behavior Research and Therapy, 37, 313–323.

    Article  Google Scholar 

  • Spielberger, C. D., Gorsuch, R., & Lusheve, R. (1970). STAI Manual for the State-Trait Anxiety Inventory. Palo Alto: Consulting Psychologists Press.

    Google Scholar 

  • Stiglmayr, C. E., Shapiro, D. A., Stieglitz, R. D., Limberger, M. F., & Bohus, M. (2001). Experience of aversive tension and dissociation in female patients with borderline personality disorder—a controlled study. Journal of Psychiatric Research, 35, 111–118.

    Article  PubMed  Google Scholar 

  • Thurauf, N. J., & Washeim, H. A. (2000). The effects of exogenous analgesia in a patient with borderline personality disorder (BPD) and severe self-injurious behavior. European Journal of Pain, 4, 107–109.

    Article  PubMed  Google Scholar 

  • Uhde, T. W., Siever, L. J., Post, R. M., Jimerson, D. C., Boulenger, J. P., & Buchsbaum, M. S. (1982). The relationship of plasma-free MHPG to anxiety and psychophysical pain in normal volunteers. Psychopharmacology Bulletin, 18, 129–132.

    PubMed  Google Scholar 

  • Ward, N. G., Bloom, V. L., Dworkin, S. F., Fawatt, J., Narasimhachari, N., & Friedel, R. O. (1982). Psychobiological markers in coexisting pain and depression: Toward a unified theory. Journal of Clinical Psychiatry, 43, 32–39.

    PubMed  Google Scholar 

  • Weisenberg, M., Aviram, O., Wolf, Y., & Raphaeli, N. (1984). Relevant and irrelevant anxiety in the reaction to pain. Pain, 20, 371–383.

    Article  PubMed  Google Scholar 

  • Willer, J. C., & Ernst, M. (1986). Somatovegetative changes in stress-induced analgesia in man: an electrophysiological and pharmacological study. Annals of the New York Academy of Sciences, 467, 256–272.

    Article  PubMed  Google Scholar 

  • Zanarini, M. C., Ruser, T., Frankenburg, F. R., & Hennen, J. (2000). The dissociative experiences of borderline patients. Comprehensive Psychiatry, 41, 223–227.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Physiological Psychology, University of Bamberg, Bamberg, Germany

    Stefan Lautenbacher

  2. Department of Psychiatry, University of Marburg, Marburg, Germany

    Julia Spernal

Authors
  1. Stefan Lautenbacher
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Julia Spernal
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. University of Bamberg, Bamberg, Germany

    Stefan Lautenbacher

  2. University of Florida College of Dentistry and Gainesville VA Medical Center, Gainesville, Florida, USA

    Roger B. Fillingim

Rights and permissions

Reprints and permissions

Copyright information

© 2004 Springer Science+Business Media New York

About this chapter

Cite this chapter

Lautenbacher, S., Spernal, J. (2004). Pain Perception in Psychiatric Disorders. In: Lautenbacher, S., Fillingim, R.B. (eds) Pathophysiology of Pain Perception. Plenum Series in Rehabilitation and Health. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-9068-6_12

Download citation

  • DOI: https://doi.org/10.1007/978-1-4419-9068-6_12

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-4780-4

  • Online ISBN: 978-1-4419-9068-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation